(verified) passed
What is the first usual sign of dementia?
How are other manifestations diagnosed?
How does the loss of functioning progress in dementia? - correct answer ✔✔- forgetfulness
- neurologic examination or cognitive testing
- starts slowly with impaired language skills and difficulty with ordinary daily activities to severe
memory loss and complete disorientation with withdrawal from social interaction
What is confabulating? How would a client with dementia display this action? - correct answer
✔✔- filling in gaps in memory by fabrication
- unconsciously to cover for and decrease anxiety about memory gaps
What are included components in the Mental State Exam (MSE)? - correct answer ✔✔-
evaluation and calculation of a client's ability to perform
- recall ability that identifies a client's ability to recall a list of objects or words
- long-term memory is evaluated and level or orientation
,How is Alzheimer's disease classified?
How is dementia due to Alzheimer's disease defined? - correct answer ✔✔- a progressive
cognitive disorder
- means that the client is experiencing later stages of the illness with moderately severe to
severe cognitive decline
A nurse is asking a client with a cognitive disorder to talk about what she likes to cook for dinner
and to discuss areas that concern her. What type of therapy is the nurse demonstrating and how
is it effective? - correct answer ✔✔validation therapy; helps clients who have cognitive
disorders discuss their feelings about past events and people
Nursing interventions for donepezil - correct answer ✔✔monitor for syncope
assess places the client is at risk for falling
What type of therapeutic communication should be implemented with patients contemplating
suicide? - correct answer ✔✔open-ended statements that shows empathy and addresses the
client's feelings of worthlessness. this therapeutic response communicates to the client that the
nurse was listening, and it will encourage the client to talk further about personal feelings
A nurse is taking the nursing process approach to care for a client that has attempted suicide.
What are the appropriate actions for this plan of care? - correct answer ✔✔- assessment is the
first step in dealing with the situation
- priority intervention is identifying cues in the client's behavior
- inspecting the client and his/her personal belongings is an appropriate intervention to ensure
that the client does not have access to potentially harmful objects
, Providing counseling for the family following the suicide of client is an example of tertiary
intervention. Why is this necessary? - correct answer ✔✔following the suicide of a client, family
and friends are, themselves, at risk for suicide, and can be helped by therapeutic
communication. they may require referral for grief counseling or other supportive measures
What types of behaviors are risk factors for suicide? What skills are protective factors? - correct
answer ✔✔- impulsive or aggressive behaviors
** a client who is depressed and/or has suicidal ideation is more likely to attempt suicide if
he/she also demonstrates impulsive behaviors and acts quickly without thinking
- problem-solving and coping skills
What is the first step a nurse should take for a client that is suspected of having an eating
disorder? - correct answer ✔✔- perform an assessment to gather enough data regarding
nutritional status and other findings such as complications the client might be experiencing
related to the eating disorder
How is bipolar disorder treated? What should the nurse include about antidepressants in client
teaching? - correct answer ✔✔- a combination of SSRIs with certain anticonvulsants
- therapeutic effects can take 4-6 weeks after beginning an antidepressant medication
What is neuroleptic malignant syndrome (NMS)? What are manisfestations of NMS? - correct
answer ✔✔- a rare and potentially fatal adverse effect of antipsychotic medications that require
emergency medial intervention.
- can be sudden and include changes in level of consciousness, seizures, and stupor